Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $512.86 / $7,943.28	Facility		$380.19	$512.86	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $295.12 / $794.33	Professional		$141.25	$295.12	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,659.59	Facility		$407.38	$407.38	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $758.58	Professional		$194.98	$407.38	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $851.14	Professional		$363.08	$501.19	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $323.59 / $616.60	Facility		$181.97	$323.59	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $758.58	Professional		$218.78	$398.11	$758.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $512.86 / $630.96	Facility		$309.03	$512.86	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $309.03 / $602.56	Facility		$169.82	$309.03	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $446.68 / $794.33	Professional		$79.43	$446.68	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,467.37	Facility		$2,137.96	$2,884.03	$3,467.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $776.25	Professional		$354.81	$489.78	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,818.38 / $4,897.79	Facility		$1,096.48	$2,818.38	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $407.38 / $758.58	Professional		$208.93	$407.38	$758.58